DR. IRENE S. TAN (NPI# 1699942425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699942425 |
| Entity Type | Individual |
| Full Name | DR. IRENE S. TAN |
| Credential | M.D. |
| Practice Address |
1147 Red Tail Way Simi Valley CA 93065-7232 |
| Practice Telephone | 8055278055 |
| Practice Fax Number | 8055208849 |
| Mailing Telephone | 8055278055 |
| Mailing Fax Number | 8055208849 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2012-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | PENDING | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893304 | Irene Brandi Tan | Optometrist | 101 N Coronado Dr Ste A, Sierra Vista, AZ 85635-6359 | 2020-08-24 |
| 1063623536 | Irene Ching-ping Tan | Dentist | 851 Fremont Ave, Suite 101, Los Altos, CA 94024-5698 | 2007-05-25 |
| 1083684500 | Irene J. Tan | Internal Medicine | 9880 Bustleton Ave, Philadelphia, PA 19115-2185 | 2006-01-26 |
| Street Address |
1147 RED TAIL WAY |
| City | SIMI VALLEY |
| State | CA |
| Zip Code | 93065-7232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596120 | Catherine Chong-ae Kim | Obstetrics & Gynecology | 1147 Red Tail Way, Simi Valley, CA 93065-7232 | 2005-08-23 |
| 1114454816 | Brittney Rena Ayers | Registered Nurse | 1147 Red Tail Way, Simi Valley, CA 93065-7232 | 2017-05-12 |
| 1033502869 | Jennifer Eun Joo Lee | Obstetrics & Gynecology | 1147 Red Tail Way, Simi Valley, CA 93065-7232 | 2015-03-18 |
| 1790088714 | Sarah A Garcia | Obstetrics & Gynecology | 1147 Red Tail Way, Simi Valley, CA 93065-7232 | 2010-12-13 |
| 1497918254 | Ga Yi Lee | Obstetrics & Gynecology | 1147 Red Tail Way, Simi Valley, CA 93065-7232 | 2008-07-02 |
| 1487858932 | Simi Obstetrics & Gynecology Medical Group A Medical Corp. | Obstetrics & Gynecology | 1147 Red Tail Way, Simi Valley, CA 93065-7232 | 2007-06-11 |
| 1023001286 | Gerald L Murphy | Obstetrics & Gynecology | 1147 Red Tail Way, Simi Valley, CA 93065-7232 | 2005-08-23 |
| 1841283009 | John Jung Gill Koh | Obstetrics & Gynecology | 1147 Red Tail Way, Simi Valley, CA 93065-7232 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312243 | Healing Hands Health Care Corp | Hospice Care, Community Based | 585 E. Los Angeles Ave, Suite H-b, Simi Valley, CA 93065 | 2020-09-29 |
| 1487261731 | Healing Love Health Care Services, Inc. | Hospice Care, Community Based | 585 E. Los Angeles Ave., Suite H - A, Simi Valley, CA 93065 | 2020-09-29 |
| 1528682499 | Nicole G. Nalbandian | Dentist | First Street Dental Group and Orthodontics, 1197 E Los Angeles Ave Ste E, Simi Valley, CA 93065 | 2020-06-05 |
| 1316597230 | K-clear Nursing Inc | Family Medicine | 1822 Springgate Ln Unit G., Simi Valley, CA 93065 | 2019-09-12 |
| 1780242313 | Valencia Medical Inc | Family Medicine | 1526 Patricia Ave, Unit 159, Simi Valley, CA 93065 | 2019-05-29 |
| 1962920553 | Taylor Pediatrics | Pediatrics | 2755 Alamo Street Ste: 201, Simi Valley, CA 93065 | 2017-09-02 |
| 1487181301 | Renee Brooks | Marriage & Family Therapist | Ventura County Behavioral Health, 1227 E. Los Angeles Ave., Simi Valley, CA 93065 | 2017-05-23 |
| 1225577208 | Amanda Blake | Dietitian, Registered | 2592 Victoria St, Simi Valley, CA 93065 | 2017-02-23 |
| 1245778364 | Tyler James Arauza | Behavior Technician | 2856 Thicket Pl., Simi Valley, CA 93065 | 2017-02-09 |
| 1992169007 | Sahar Yaftaly | Dentist | 2045 Royal Ave Ste 109, Simi Valley, CA 93065 | 2016-04-06 |
| Find all providers in zip 93065 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596120 | Catherine Chong-ae Kim | Obstetrics & Gynecology | 1147 Red Tail Way, Simi Valley, CA 93065-7232 | 2005-08-23 |
| 1033502869 | Jennifer Eun Joo Lee | Obstetrics & Gynecology | 1147 Red Tail Way, Simi Valley, CA 93065-7232 | 2015-03-18 |
| 1558620377 | Gladys E. Negron, M.d. Inc. | Obstetrics & Gynecology | 1687 Erringer Rd, 102, Simi Valley, CA 93065-6508 | 2012-05-14 |
| 1790088714 | Sarah A Garcia | Obstetrics & Gynecology | 1147 Red Tail Way, Simi Valley, CA 93065-7232 | 2010-12-13 |
| 1861726135 | Mojgan Fatemeh Zafary-daftary | Obstetrics & Gynecology | 1687 Erringer Rd, 102, Simi Valley, CA 93065-6508 | 2009-09-19 |
| 1497918254 | Ga Yi Lee | Obstetrics & Gynecology | 1147 Red Tail Way, Simi Valley, CA 93065-7232 | 2008-07-02 |
| 1487858932 | Simi Obstetrics & Gynecology Medical Group A Medical Corp. | Obstetrics & Gynecology | 1147 Red Tail Way, Simi Valley, CA 93065-7232 | 2007-06-11 |
| 1790889228 | Roopa Rao, M.d., Inc. | Obstetrics & Gynecology | 1687 Erringer Rd, Suite 107, Simi Valley, CA 93065-6508 | 2006-09-13 |
| 1588650865 | Roopa Rohini Rao-karlamangla | Obstetrics & Gynecology | 1687 Erringer Rd, Suite 107, Simi Valley, CA 93065-6508 | 2005-09-22 |
| 1023001286 | Gerald L Murphy | Obstetrics & Gynecology | 1147 Red Tail Way, Simi Valley, CA 93065-7232 | 2005-08-23 |
| Find all providers in SIMI VALLEY | ||||
| City | SIMI VALLEY |
| Zip Code | 93065 |
Please comment or provide details below to improve the information on DR. IRENE S. TAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.